Organization
MARIELY'S MEDICAL SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA ALEMAN (PRESIDENT)
(305) 871-7606
Entity
Organization
Contact information
Practice address
6555 NW 36TH ST STE 210, VIRGINIA GARDENS, FL 33166-6900
(305) 871-7606
(305) 871-7006
Mailing address
6555 NW 36TH ST STE 210, VIRGINIA GARDENS, FL 33166-6900
(305) 871-7606
(305) 871-7006
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5163170001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1312204
AHCA
FL
Enumeration date
07/16/2006
Last updated
08/22/2020
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